Lifeback LLC
Lifeback LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Lawrenceville, NJ, holding Type 2 (organization) NPI 1780015412 since 2013. The authorized official on file is Marinetta Serotte, Adminstrator/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780015412 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lifeback LLC |
| Practice address | 4 PRINCESS RD, BLDG 200 / SUITE 206, Lawrenceville, NJ, 08648 |
| Phone | 6094823701 |
| Fax | 2159757300 |
| Enumeration date | 2013-12-05 |
| Last updated in NPPES | 2023-05-30 |
Authorized official
| Name | Marinetta Serotte |
|---|---|
| Title | Adminstrator/Owner |
| Phone | 6098728021 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Secondary | — | — |
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | — | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Lifeback LLC NPI: 1780015412 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 4 PRINCESS RD, BLDG 200 / SUITE 206, Lawrenceville, NJ, 08648
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881690956 | Darmakusuma Ie | Individual | Ophthalmology Physician | Lawrenceville, NJ |
| 1659377729 | Jeffrey Lipkowitz | Individual | Ophthalmology Physician | Lawrenceville, NJ |
| 1427055516 | Ronald Wilson | Individual | Optometrist | Lawrenceville, NJ |
| 1437157583 | Richard Friedland | Individual | Internal Medicine Physician | Lawrenceville, NJ |
| 1649278839 | Larry Greidinger | Individual | Optometrist | Lawrenceville, NJ |
| 1336193994 | Delaware Valley Retina Associates PC | Organization | Ophthalmology Physician | Lawrenceville, NJ |
| 1467493718 | Kekul Shah | Individual | Ophthalmology Physician | Lawrenceville, NJ |
| 1841303799 | Carmen Romano | Individual | Gynecology Physician | Lawrenceville, NJ |
Verify this record
Cross-check NPI 1780015412 against the authoritative CMS record: view Lifeback LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lifeback LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-05-30.